Abstract

This systematic review aims to identify the factors that facilitate or impede the engagement of Aboriginal people living with a disability with disability services through review of the current academic and industry literature. Aboriginal and Torres Strait Islander people are twice as likely to experience disability as non-Indigenous Australians, yet often have more difficulty accessing support. 17 documents were included in the final review. The review revealed the super-ordinate theme of culture and Indigeneity which pervades the three additional themes of accessibility, engagement and lack of support. All four themes can be viewed as barriers or facilitators of engagement for Aboriginal people. Quality assessment highlighted the need for research exploring the experiences of Aboriginal and Torres Strait Islander people living with disability and for more culturally appropriate and scientifically rigorous research. The findings provide guidance for policy makers and service providers in relation to supporting Aboriginal people living with disability.

• Points of interest

• Aboriginal people living with a disability experience numerous barriers to positively engaging with disability services.

• The current literature that examines the lived experience of Aboriginal people living with a disability is limited in scope and quality.

• Aboriginal and Torres Strait Islander access and engagement with disability services may best be facilitated through the consideration of Aboriginal cultural beliefs, individual cultural needs, and Aboriginal perspectives of health.

• There is a need for disability services to become more culturally aware and more inclusive of Aboriginal cultural understandings to better inform inclusive policy and practice.

• The study recommends more collaborative research into the lived experience of Aboriginal people living with a disability, particularly relating to the way that inclusion can improve wellbeing and engagement with support services.

摘要

本系统评价旨在通过回顾当前的学术和行业文献，确定促进或阻碍原住民残疾人参与残疾服务的因素。原住民和托雷斯海峡岛民遭遇残疾的可能性是非原住民澳大利亚人的两倍，但往往更难以获得支持。17份文件被纳入最终审查。审查揭示了文化和原住民的上级主题，它遍及可访问性、参与和缺乏支持这三个附加主题。所有四个主题都可以被视为土著人民参与的障碍或促进因素。质量评估强调需要研究探索土著和托雷斯海峡岛民残疾人的经历，以及进行更符合文化和科学严谨的研究。调查结果为政策制定者和服务提供者提供了有关支持土著残疾人士的指导。

• 兴趣点

• 原住民残障人士在积极参与残障服务方面遇到了许多障碍。

• 当前研究残障原住民生活经历的文献在范围和质量上都很有限。

• 通过考虑原住民文化信仰、个人文化需求和原住民健康观点，可以最好地促进原住民和托雷斯海峡岛民获得和参与残疾服务。

• 残疾服务需要变得更具文化意识和更包容土著文化理解，以更好地为包容性政策和实践提供信息。

• 该研究建议对残障原住民的生活经历进行更多的合作研究，特别是与包容可以改善福祉和参与支持服务的方式有关。